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Archived: Amegreen Complex Homecare Buckinghamshire Good

This service was previously registered at a different address - see old profile

This service is now registered at a different address - see new profile

Inspection Summary

Overall summary & rating


Updated 17 December 2016

This announced inspection took place on the 21 and 22 November 2016. The previous inspection of this service took place in June 2014 where it was found to be compliant with the regulations.

Amegreen Complex Homecare is a domiciliary care service that supports adults and children in their own homes. They also provide specialist care to people who have complex medical needs. At the time of our inspection 24 people were using the service.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe using the service. The provider had systems in place to assess the risks to people and their environment. Where risks were identified these had been minimised. The risks to people, staff and families were kept under constant review.

There were sufficient numbers of staff to ensure people’s needs were met. Plans were in place to recruit additional staff to ensure there was sufficient cover in the absence of permanent staff. This was important due to the complex needs of some people using the service.

Staff were suitably trained and the training was monitored and kept up to date to ensure people received appropriate and safe care. Staff received training in how to safeguard people from abuse. They knew the indicators of abuse and how to report concerns. Where people required assistance with medicines, these were administered by trained staff. Specialist training was available to staff in areas such as tracheostomy care and ventilation. Competency checks were carried out on staff to make sure they were practicing correctly. This ensured staff had the necessary skills to care for people safely.

Staff were supported through supervision, appraisals, team meetings and training. They spoke positively about the support they received from the registered manager and the senior staff.

Staff understood the Mental Capacity Act 2005 and how this influenced their work with people.

Staff were described as caring, friendly and loving. It was clear positive relationships had been built between people and staff. Staff knew how to encourage people to be as independent as possible and understood the benefits of this on people’s wellbeing. Communication between staff and people was positive. People gave examples of how staff had worked over and above the expected time to support them in times of need.

Comprehensive assessments took place prior to care being offered. Care plans reflected people’s needs. Staff were knowledgeable about people’s needs and also about their preferences and how they wished care to be provided.

People knew how to raise a complaint. People told us that when they had raised an issue with the provider it had been dealt with quickly and appropriately. People were also able to feedback to the provider about the quality of care provided.

The service was well managed. Systems were in place to review the service and make improvements where necessary. The registered manager supported staff and made themselves available to assist them individually or to work with people when needed. Staff understood the aim of the service and worked together to accomplish providing good quality and effective care.

The registered manager kept up to date with current practice and implemented this within the current service provision.

Inspection areas



Updated 17 December 2016

The service was safe.

People were protected from the risks of abuse as staff were suitably trained and policies were in place to safeguard people.

Risks were identified and minimised. Risks were kept under constant review in order to keep people safe



Updated 17 December 2016

The service was effective.

People’s health was monitored and when necessary external professionals were contacted to provide support to people on maintaining good health.

Staff understood the Mental Capacity Act 2005 and how this applied to their role.



Updated 17 December 2016

The service was caring.

People were supported by staff who demonstrated a caring nature and who were knowledgeable about people’s needs and the care required.

People were able to communicate with staff in a way that was meaningful to them.



Updated 17 December 2016

The service was responsive.

People’s needs were assessed. Care plans and risk assessments described the care they needed and minimised hazards.

People knew how to raise concerns. When people had raised concerns these were dealt with quickly and appropriately.



Updated 17 December 2016

The service was well led.

Staff told us the management were supportive and they worked well as a team. There was an open and honest culture which enabled good communication and a positive working environment.

The registered manager had systems in place to monitor the quality of the service and took appropriate action to improve the standards when necessary.